1.根管预备和冲洗步骤即刻停止。

2.告知并安慰病人事故的本质。

3.根管必须开放1天利于减压。

4.于术区放置冰块以减少肿胀和痛苦。

5.应用抗生素和镇痛药。

6.第二天让患者复诊用蒸馏水或生理盐水或氯己定冲洗根管，然后棉球+氧化锌暂封。

7.建议病人温水漱口促进组织愈合。每天电话复诊状况。

8.症状消失以后，用蒸馏水或生理盐水或氯己定冲洗根管，然后充填根管。

原文：

1- The irrigation and shaping procedure must be interrupted.

2- Inform and reassure the patient about the nature of the accident.

3- The tooth must be left open, for one day, to optimize the drainage.

4- Place cold compress on the affected extraoral region, for a period of 2 hours, in order to reduce the swelling and to relieve the pain.

5- Prescribe antibiotics and analgesics. (corticosteroids use is uncertain)

6- The second day, recall the patient to irrigate the canal with distilled water or saline or chlorhexidine, then fill the coronal cavity with a cotton and temporary filling7- Recommend the patient to effect intraoral irrigation with warm water to encourage tissue perfusion.

7- Keep in a daily contact with the patient through the phone.

8- Once the symptoms disappear, accomplish the root canal treatment by irrigating with distilled water or saline or chlorhexidine, and finally fill the canal(s).Usually, everything comes back to normal within 2 weeks.

来源于：口腔精英